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重度次氯酸钠事故的手术治疗:病例报告及文献复习。

Surgical approach to a severe case of sodium hypochlorite accident: a case report and review of the literature.

出版信息

Quintessence Int. 2021 Sep 9;52(9):806-810. doi: 10.3290/j.qi.b1492001.

DOI:10.3290/j.qi.b1492001
PMID:34076374
Abstract

Sodium hypochlorite (NaOCl) is the most common irrigant used in modern endodontics due to the antimicrobial properties against bacteria, the powerful oxidative activity, and the ability to dissolve organic soft tissues. When NaOCl extrudes the apex of the root, commonly referred as "sodium hypochlorite accident," it can lead to devastating outcomes leading to long-term functional and esthetic deficits. Currently, no clear guidelines exist as to how these patients should be managed. The purpose of this paper is to present a case report and a review of literature and to propose an adequate surgical treatment protocol for this unfortunate event.

摘要

次氯酸钠(NaOCl)是现代牙髓病学中最常用的冲洗剂,因为它具有抗菌性能、强大的氧化活性和溶解有机软组织的能力。当 NaOCl 从根尖挤出时,通常被称为“次氯酸钠事故”,它可能导致破坏性的后果,导致长期的功能和美观缺陷。目前,对于如何处理这些患者尚无明确的指导方针。本文的目的是报告 1 例病例,并对文献进行回顾,为这种不幸事件提出适当的手术治疗方案。

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J Conserv Dent. 2023 Jan-Feb;26(1):3-11. doi: 10.4103/jcd.jcd_422_22. Epub 2022 Dec 8.